Acute Cardiac Care — The First Hour

Description

Why the first hour gets its own volume

In most of cardiology, a delayed decision is a suboptimal decision. In the first hour of an acute presentation it is frequently a different outcome entirely — infarct size, neurological recovery after arrest, whether a dissection reaches the arch. That asymmetry justifies teaching the first hour separately from everything that follows.

Structured as actions, not as knowledge

Each of the sixteen chapters is written as an ordered sequence: what to establish, in what order, what to give, what to prepare, and the point at which the plan changes if there is no response. A description of pathophysiology is of limited use to a clinician standing at a trolley; a sequence is not.

Academy placement

Required on the acute care track and recommended to every member regardless of track, on the argument that acute cardiac presentations reach doctors who did not choose them. Trainees typically take it before their first CCU or emergency rotation rather than during.

Coverage

Acute coronary presentation and the reperfusion decision. Cardiac arrest and immediate post-resuscitation care. The unstable arrhythmia. Acute pulmonary oedema. Shock recognition, including the patient who looks compensated and is not. Aortic emergency. Tamponade. Hypertensive crisis. Acute valve failure.

PDF, 419 pages, lifetime access via CardiologyBooks.com.

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